Facility Evaluation Report

At approximately 11:50 AM, Licensing Program Analyst (LPA) Magdaleno arrived unannounced to conduct a required 1-year annual inspection. Licensee Wei "Willie" Yang and Administrator Agnes Dizon arrived at approximately 12:20 PM along with Staff Jenny Qian from Caremax, inc Administration office. Facility is an Adult Residential Facility (ARF) with four (4) clients in care. LPA was informed that all clients were away during this visit. Facility is serviced by vendor Golden Gate Regional Center (GGRC).

At approximately 12:30 PM, LPA initiated a tour of the facility with Administrator and observed the following: Facility is a one (1) story home, was a comfortable temperature, and passageways were free from obstructions. Facility's fire extinguishers were observed charged and last serviced 10/25. Smoke and Carbon Monoxide detectors were tested and operational during inspection. Water temperatures in client bathrooms read at 119.8 degrees F which is within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed a supply of clean linens, hygiene, and paper products available for clients. Clients' bedrooms were inspected and observed to have all the appropriate furnishings as outlined in Title 22 regulation.

Cabinets containing cleaning supplies and other items that could pose a risk were locked. Facility has at least two (2) days of perishable food and seven (7) days of non-perishable foods, as well as an emergency water supply. Facility has an internet access devise and internet available to clients in care, and the phone was tested and operational during today's inspection. There is a shaded seating area in the backyard with outdoor space for activities. LPA observed one (1) locked in the backyard which was inspected and observed to contain a washing machine and laundry supplies.